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1003550781
PAUL WESLEY CANTOS NOVAL
DIAMOND SPRINGS, CA
NPI
1003550781
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
164X00000X Licensed Vocational Nurse
(Licence: CA 253780)
Enumeration Date
2022-04-27
Last Update Date
2022-04-27
Business Address
PAUL WESLEY CANTOS NOVAL LPT/LVN
768 PLEASANT VALLEY RD
DIAMOND SPRINGS, CA 95619-9260
Phone number: 530-621-6290
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Mailing Address
PAUL WESLEY CANTOS NOVAL LPT/LVN
768 PLEASANT VALLEY RD
DIAMOND SPRINGS, CA 95619-9260
Phone number: 530-621-6290
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